Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD00027749 | WA |
N | 207NS0135X | Procedural Dermatology | MD00027749 | WA |
NPI | 1548253198 |
---|---|
Provider Name | Charlotte L Metzler |
First Address | Port Angeles, WA 98363-9514 |
Second Address | Port Angeles, WA 98363-9514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 12/03/2008 |